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Heart Disease (Expert Forum)
PSVT and negative reaction to epidural anasthesia
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
PSVT and negative reaction to epidural anasthesia
by Dana__0__0, Jan 01, 1995 12:00AM
Posted By Dana on May 27, 1999 at 11:11:50
I am about to deliver my third child in a few weeks and am having a lot of anxiety. After the birth of my son five years ago, I was diagnosed with PSVT and take 25 mg. of atenolol daily which controls it well. With the delivery of both my daughter (who is 8) and my son, epidural anasthesia had to be stopped due to my heart rate suddenly jumping up to over 180 bpm. After my son, I started having regular attacks which was when I was diagnosed. No one seems to know why the epidural has this effect on me. It always happens about 30 minutes after the first dose is given. Could it be epinephrine even though I was told that if it was, I would have reacted immediately (within 30 seconds). Should I avoid an epidural altogether this time? Could I possibly be pretreated with a medication that would counteract the tachycardia? We know it is not a drop in blood pressure, because both times my BP remained stable. Is there a certain type of anasthetic that could be used in the epidural that would not cause this to happen? Any input would be appreciated since I am getting a lot of mixed messages and I would like to to go into this birth feeling confident about my body's reactions.
Thank you.
Follow Ups:
Re: PSVT and negative reaction to epidural anasthesia CCF CARDIO MD - DLB 5/28/1999
(0)
I am about to deliver my third child in a few weeks and am having a lot of anxiety. After the birth of my son five years ago, I was diagnosed with PSVT and take 25 mg. of atenolol daily which controls it well. With the delivery of both my daughter (who is 8) and my son, epidural anasthesia had to be stopped due to my heart rate suddenly jumping up to over 180 bpm. After my son, I started having regular attacks which was when I was diagnosed. No one seems to know why the epidural has this effect on me. It always happens about 30 minutes after the first dose is given. Could it be epinephrine even though I was told that if it was, I would have reacted immediately (within 30 seconds). Should I avoid an epidural altogether this time? Could I possibly be pretreated with a medication that would counteract the tachycardia? We know it is not a drop in blood pressure, because both times my BP remained stable. Is there a certain type of anasthetic that could be used in the epidural that would not cause this to happen? Any input would be appreciated since I am getting a lot of mixed messages and I would like to to go into this birth feeling confident about my body's reactions.
Thank you.
Follow Ups:
Re: PSVT and negative reaction to epidural anasthesia CCF CARDIO MD - DLB 5/28/1999
(0)
